Provider Demographics
NPI:1598413817
Name:VANN, SARAH DIGISON (MSN, APRN-CNP, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:DIGISON
Last Name:VANN
Suffix:
Gender:F
Credentials:MSN, APRN-CNP, PMHNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:DIGISON
Other - Last Name:KEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:5233 FALLWORTH CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-5901
Mailing Address - Country:US
Mailing Address - Phone:817-905-7301
Mailing Address - Fax:
Practice Address - Street 1:5233 FALLWORTH CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-5901
Practice Address - Country:US
Practice Address - Phone:817-905-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1073039363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health